Provider Demographics
NPI:1487068201
Name:AHC FOX-REDSTONE ARSENAL
Entity type:Organization
Organization Name:AHC FOX-REDSTONE ARSENAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF DHA PASS
Authorized Official - Prefix:
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-536-6650
Mailing Address - Street 1:FOX ARMY HEALTH CENTER
Mailing Address - Street 2:CO MCXW PAD INS OFFICE 4100 GOSS RD
Mailing Address - City:REDSTONE ARSENAL
Mailing Address - State:AL
Mailing Address - Zip Code:35809-7000
Mailing Address - Country:US
Mailing Address - Phone:256-955-8888
Mailing Address - Fax:256-955-0189
Practice Address - Street 1:4100 GOSS RD SW
Practice Address - Street 2:FOX ARMY HEALTH CENTER
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35809-0001
Practice Address - Country:US
Practice Address - Phone:256-955-8888
Practice Address - Fax:256-955-0189
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AHC FOX-REDSTONE ARSENAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-06-19
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332000000XSuppliersMilitary/U.S. Coast Guard Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2146321OtherPK